BILL ANALYSIS                                                                                                                                                                                                    �



                                                                            



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                                    THIRD READING


          Bill No:  SB 1160
          Author:   Beall (D)
          Amended:  5/27/14
          Vote:     21

           
           SENATE HUMAN SERVICES COMMITTEE  :  4-0, 4/22/14
          AYES:  Liu, Berryhill, DeSaulnier, Hancock
          NO VOTE RECORDED:  Wyland

           SENATE APPROPRIATIONS COMMITTEE  :  7-0, 5/23/14
          AYES:  De Le�n, Walters, Gaines, Hill, Lara, Padilla, Steinberg


           SUBJECT  :    Employment

           SOURCE  :     Alliance Supporting People with Intellectual and
                         Developmental Disabilities 
                      California Disability Services Association


           DIGEST  :    This bill requires, for group services, a job  
          coach-to-consumer ratio of not less than 1:2 nor more than 1:8  
          where services to a minimum of two consumers are funded by a  
          regional center or the Department of Rehabilitation (DOR).  This  
          bill recasts the definition of "individualized services" to  
          provide, in part, job coaching and other supported employment  
          services, as specified.  This bill also makes legislative  
          findings and declarations regarding the employment of persons  
          with developmental disabilities.



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          ANALYSIS  :   

          Existing law:

          1. Establishes the Department of Developmental Services (DDS) to  
             administer the Act, which entitles individuals with  
             developmental disabilities to community services and  
             supports. 

          2. Establishes private non-profit regional centers to provide  
             fixed points of contact in the community for persons with  
             developmental disabilities and their families, so that these  
             persons may have access to the services and supports best  
             suited to them throughout their lifetime.

          3. Establishes the Employment First Policy and states that it is  
             the policy of the state that opportunities for integrated,  
             competitive employment shall be given the highest priority  
             for working age individuals with developmental disabilities,  
             regardless of the severity of their disabilities.

          4. Defines "habilitation services" as community-based services  
             purchased or provided for adults with developmental  
             disabilities, including services provided under the Work  
             Activity Program and the Supported Employment Program, to  
             prepare and maintain them at their highest level of  
             vocational functioning, or to prepare them for referral to  
             vocational rehabilitation services.

          5. Defines "group services" to mean job coaching in a group  
             supported employment placement at a job coach-to-consumer  
             ratio of not less than 1:3 nor more than 1:8 where services  
             are funded by the regional center or the DOR.  For consumers  
             receiving group services, ongoing support services shall be  
             limited to job coaching and shall be provided at the  
             worksite. 

          6. Defines "individualized services" to mean job coaching and  
             other supported employment services for regional  
             center-funded consumers in a supported employment placement  
             at a job coach-to-consumer ratio of 1:1, and that decrease  
             over time until stabilization is achieved. Individualized  
             services may be provided on or off the jobsite. 

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          7. Establishes a small business bid preference for nonprofit  
             veterans service agencies in awarding state contracts under  
             all of the following conditions, as specified.

          This bill:

          1. States various Legislative findings and declarations about  
             the importance of employment of individuals with  
             developmental disabilities in California and the state's high  
             unemployment rate for these individuals. 

          2. Modifies the minimum job coach-to-consumer ratio to 1:2, from  
             1:3.  Similarly, reduces the minimum number of consumers  
             required to participate in group supported employment from  
             three to two. 

          3. Modifies the definition of "individualized services" to mean  
             job coaching and other services for regional center-funded  
             consumers in a supported employment placement, as specified,  
             with services that decrease over time, consistent with the  
             consumer's individualized program plan and abilities, with  
             the goal of achieving stabilization, when possible.  

           Related legislation  

          AB 1626 (Maienschein, 2014), would increase the hourly rate paid  
          to providers of individualized and group-supported employment  
          services to $34.24, and increase the fees paid to interim  
          program providers to $400 and $800, respectively.

          AB 954 (Maienschein, 2013), would have increased the hourly  
          provider rate for individualized and group supported employment  
          services to $34.24, and increased the fees paid to interim  
          program providers to $400 and $800.  The bill died in the  
          Assembly Appropriations committee.

          AB 1041 (Chesbro, Chapter 677, Statutes of 2013), created the  
          Employment First Policy and requires regional centers to provide  
          consumers age 16 and older with information about employment,  
          options for integrated competitive employment, post-secondary  
          education options, and other information.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    

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          Local:  No


          According to the Senate Appropriations Committee:


           Unknown impact on the utilization of group supported  
            employment services (General Fund and federal funds).  By  
            reducing the minimum number of consumers participating in a  
            group employment services, this bill may increase demand for  
            those services by making it easier to set up two-consumer  
            groups.  Additionally, by allowing individualized services  
            potentially continue over a longer period of time (in some  
            cases indefinitely) the bill could increase demand for those  
            services.  The extent of those impacts are unknown.


           On the other hand, consumers who cannot be served by group  
            services are already eligible for individualized services, so  
            there may not actually be much unmet demand for these  
            services.  In addition, providing supported employment  
            services is less expensive than other services that consumers  
            would be eligible for in the absence of competitive  
            employment.  For example, the average annual cost to provide  
            supported employment services is about $4,000 whereas the  
            average annual cost to provide a place in a work activity  
            program is about $5,300 and the average annual cost for day  
            programs is about $11,700.  To the extent that additional  
            supported employment services allow consumers to remain in  
            competitive employment and not access more expensive services,  
            those savings will likely offset some or all of the costs to  
            provide additional services under this bill.


           SUPPORT  :   (Verified  5/27/14)

          Alliance Supporting People with Intellectual and
              Developmental Disabilities (co-source)
          California Disability Services Association (co-source)
          Association of Regional Center Agencies
          Toolworks

           ARGUMENTS IN SUPPORT  :    The author's office states that for  
          people with the most significant disabilities, access to ongoing  

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          job coaching to maintain employment is critical.  Coaching  
          enables people with cognitive disabilities to learn and retain  
          job skills in ways that may be unique to the individual.  The  
          author's office notes that individual placement, which pairs a  
          single worker with a job coach, requires the job coaching  
          services to fade quickly.  

          The Alliance Supporting People with Intellectual and  
          Developmental Disabilities, a co-sponsor, writes that this bill  
          will greatly improve employment opportunities and outcomes for  
          people with intellectual and developmental disabilities. 

          Co-sponsor, California Disability Services Association (CDSA)  
          states that this bill adds much needed improvements in the  
          options available in California's 



          employment policies directed toward offering work opportunities.  
           CDSA states it is their belief that adding these new elements  
          to the options for increasing work opportunities is clearly a  
          step in the right direction.



          JL:d  5/27/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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